MICHAEL J CLOSE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009945

License Status

NOT RENEWED

Business

First Name

MICHAEL J

Last Name

Business Name

MICHAEL J CLOSE

Original Issue Date

01/30/1997

Effective Date

01/30/1997

Expiration Date

09/30/1998

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/14/2005